Fella Health vs Sesame Care: Which GLP-1 Program Is Better? (2026)

A detailed side-by-side comparison of Fella Health and Sesame Care to help you choose the right GLP-1 weight loss program based on pricing, medications, medical support, and more.

By GLP-1 Watchdog Editorial TeamIndependent Health Research
Published: March 30, 2026|Updated: March 30, 2026

Quick Verdict

We recommend Fella Health

Between these two providers, Fella Health is our pick for most users. It offers a higher overall rating (7.9 vs 7.8). That said, Sesame Care may be the better fit if you are looking for users who want cheap doctor visits and already have insurance to cover brand-name medications.

Side-by-Side Comparison

FeatureFella HealthSesame Care
Monthly Price$165$25
Rating7.9 / 107.8 / 10
Medication TypeCompounded OnlyBrand & Compounded
Insurance AcceptedNoYes
States Available35 statesAll 50 states
Consultation FeeIncluded$25-75
ShippingFree ShippingPaid
Cancel AnytimeYesYes
Medical SupportLicensed physicians, health coaching, lab workLicensed physicians, per-visit model

Prices reflect starting rates without insurance. Actual costs may vary by plan and medication. Last updated March 2026.

Fella Health: Detailed Look

Fella Health

The medication weight loss program for men with a 6-month money-back guarantee

7.9/10
Good

Pros

  • 6-month money-back guarantee — full refund if <5% body weight lost
  • No dose-based price increases as your dosage goes up
  • Includes lab work, coaching, and medical oversight in plan price
  • Average members report 10.4% body weight loss by month 6

Cons

  • Limited state availability — not available in all 50 states
  • Recent complaints about drug shortages and shipping delays
Best For

Men who want a men-focused weight loss program with a money-back guarantee

Sesame Care: Detailed Look

Sesame Care

Affordable telehealth marketplace connecting patients with doctors from $25

7.8/10
Good

Pros

  • Lowest consultation cost — visits from just $25
  • Prescribes brand-name FDA-approved medications
  • Transparent per-visit pricing with no subscriptions
  • Wide network of licensed physicians across all 50 states

Cons

  • Medication cost is separate and not included in visit fee
  • No compounded options — brand-name only (higher drug cost)
Best For

Users who want cheap doctor visits and already have insurance to cover brand-name medications

Which Should You Choose?

The right choice depends on your specific needs and priorities. Here is a quick decision framework:

You want the lowest monthly cost

Go with Sesame Care at $25/month. $25-75 per visit; medication costs separate.

You want the highest-rated program

Fella Health has the edge with a 7.9 rating.

You have insurance coverage

Sesame Care accepts insurance, which can significantly reduce your out-of-pocket cost.

You want affordable compounded options

Fella Health focuses on compounded medications at a lower price point.

You want comprehensive medical support

Compare their support: Fella Health offers licensed physicians, health coaching, lab work, while Sesame Care provides licensed physicians, per-visit model.

You are willing to invest more for premium care

Fella Health at $165/month may offer features that justify the premium.

Fella Health

Starting at $165/mo · Good

Visit Fella Health

Sesame Care

Starting at $25/mo · Good

Visit Sesame Care

Frequently Asked Questions

Is Fella Health better than Sesame Care?

Fella Health has a 7.9 rating while Sesame Care has a 7.8 rating. The better choice depends on your priorities — Fella Health is best for men who want a men-focused weight loss program with a money-back guarantee, while Sesame Care is best for users who want cheap doctor visits and already have insurance to cover brand-name medications.

How much does Fella Health cost compared to Sesame Care?

Fella Health starts at $165/month ($165/mo semaglutide, $399/mo tirzepatide on 3-month plan), while Sesame Care starts at $25/month ($25-75 per visit; medication costs separate).

Do Fella Health and Sesame Care accept insurance?

Fella Health does not accept insurance. Sesame Care accepts insurance.

Which GLP-1 medications does Fella Health offer vs Sesame Care?

Fella Health offers Compounded Semaglutide, Compounded Tirzepatide. Sesame Care offers Ozempic, Wegovy, Mounjaro, Zepbound, Rybelsus.

Can I cancel Fella Health or Sesame Care at any time?

Fella Health allows cancel anytime. Sesame Care also allows cancel anytime.

Are Fella Health and Sesame Care available in my state?

Fella Health is available in 35 states. Sesame Care is available in all 50 states.

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